NPIMap

Organization Active NPI

East Brunswick Physical Therapy

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
National Provider Identifier
1518502707
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EAST BRUNSWICK PHYSICAL THERAPY
Practice address
3 Auer CT Ste D
East Brunswick, NJ 08816-5825
Phone
(732) 254-2273
Fax
(732) 254-1533
NPI assigned
Nov 12, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James W Campbell Jr., DCNPI 1780754226
Title
Managing Member
Phone
(732) 254-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3 Auer CT Ste D
East Brunswick, NJ 08816-5825

Mailing address

3 Auer CT Ste D
East Brunswick, NJ 08816-5825
Phone (732) 254-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drc@campbellchiro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218000374 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729412143 Receives reassigned benefits from 7 practitioners
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: drc@campbellchiro.com

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1518502707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AUER CT STE D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165825",
            "telephone_number": "732-254-2273",
            "fax_number": "732-254-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUER CT STE D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165825",
            "telephone_number": "732-254-2273",
            "fax_number": "732-254-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-254-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drc@campbellchiro.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Auer Ct Ste D",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088165825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.